190.171. Any person aggrieved by an official action of the departmentof health and senior services affecting the licensed status of a personpursuant to the provisions of sections 190.001 to 190.245 and sections190.525 to 190.537, including the refusal to grant, the grant, therevocation, the suspension, or the failure to renew a license, may seek adetermination thereon by the administrative hearing commission pursuant tothe provisions of section 621.045, RSMo, and it shall not be a condition tosuch determination that the person aggrieved seek a reconsideration, arehearing, or exhaust any other procedure within the department of healthand senior services or the department of social services.
(L. 1978 S.B. 661, A.L. 1998 S.B. 743, A.L. 2002 S.B. 1107)(1993) Competing ambulance service lacks standing to contest action of department before administrative hearing commission, because for purposes of statute, "aggrieved person" does not include competing ambulance service that is economically affected by an action of department of health granting an ambulance license to another ambulance service. Gold Cross Ambulance, Inc. v. Missouri Dept. of Health, 866 S.W.2d 473 (Mo.App.W.D.).